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Problem #1: POOR ENVIRONMENTAL SANITATION: IMPROPER GARBAGE DIPOSAL

Cues S: Analysis Goal of Care After nursing intervention, the family will decide on appropriate action(s) to prevent the occurrence of insects, rodents, or cockroaches Objectives Short-term: After 2 hours of nursing intervention, the family will verbalize understanding of the actual condition that exist within the family and knowhow of the proper disposal techniques with the consequences of disregarding it. Long-term: After 4 months of home visits, the family will demonstrate the use and maintenance of a clean environment and proper garbage disposal system in compliance with the health teachings provided. Interventions >discuss importance of waste segregation Rationale >Determined products which can be recycled and utilize by the family members like empty bottles and newspapers which can be sold or organic waste material as fertilizer >facilitates the importance of proper garbage disposal system >maximizing the community/familys resources while minimizing the cost of purchasing garbage containers Method of contact Home visits Observation >initiative, time and full participation of family members in applying the segregation system >garbage cans and sacks Student-nurse resources: >knowledge, skills and proper attitude in discussing the nature of the problem. Resources Required Family resources: Evaluation Short-term: The family was able to verbalize understanding of the actual condition that exist within the family and knowhow of the proper disposal techniques with the consequences of disregarding it. Long-term: The family was able to demonstrate the use and maintenance of a clean environment and proper garbage disposal system in compliance with the health teachings provided.

A. Poor environment O: sanitation due Presence to: of dirty 1. Presence of surroundin breeding or gs resting sites of insects, Stagnant rodents, or drainage other vectors system Presence 2. improper garbage of flies disposal Animals 3. improper not in drainage proper system place i.e. a. Inability to goats are not tied up recognize the presence of a Trash is stored in a problem due to lack of pit and knowledge then set b. Inability to on fire provide a home environment which is conducive to health maintenance due to:

>explain the effects of untidy environment to a healthy living

>encourage the family to utilize resources like empty rice sacks or cans as garbage containers, making sure that they are left covered. >point out the result of piles of garbage settled along the river to the health of the people by using water on the river, adding up to air, land and water pollution.

>to make the family members realized the consequences of irresponsible throwing of garbage to the riverside which serves s breeding

a. Financial constraints b. Lack of knowledge of importance of sanitation and preventive measures

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sites of rodents, thereby increasing the possibility of water-borne infection or other diseases. > Upang maging kapakipakinabang ang mga nabubulok na basura at magsisilbing pataba sa lupa

> Teach and encourage use of a compost pit

PROBLEM # 2: POOR PERSONAL HYGIENE Cues Analysis Goal of Care S> O> Upon the assessment made, it was observed that the family members have dirty and untrimmed fingernails and toenails. >The child has a dirty clothes. > The mother and father are both seen walking barefooted outside the After nursing intervention, the family will decide on appropriate action(s) to maintain good hygiene

Objectives

Interventions

Rationale

Method of contact

Resources Required

Evaluation

Poor hygienic care is contributed by the familys Inability to provide a home environment conducive to health maintenance and personal development due to lack of adequate knowledge and skills in carrying out action for proper hygiene regimen.

Short Term: After 3 hours of nursing interventions the family will demonstrate understanding on the health teachings given regarding the importance of maintaining proper personal hygiene.

Stressed the
importance of maintaining proper personal hygiene.

In order to
motivate them to improve their hygiene.

Home
Visits

Time and
effort of the student nurses to render proper hygienic care and practices to the family.

Interview
Method

Encouraged the
mother to bath his son everyday in the morning and before going to sleep

To provide comfort
and soothing feeling which promotes proper blood circulation; cleansing the body helps removes dirt from skin thus protecting them from invading microorganism

Observation

Cooperation
of the family members especially the mother.

Short Term: The family was able to demonstrate understanding on the health teachings given regarding the importance of maintaining proper personal hygiene.

Long Term: After 3 weeks of Home visits the family will be able to show compliance Advised the family on the health to change their teachings given. clothing regularly, every after bath or when the need

To keep free from


microorganisms causing body odor due to excessive perspiration and unchanged

Use of
water, soap, cotton buds, slippers, powder, nail cutter, clean Long Term: The family was able to show compliance on

house >The father have a yellowish teeth while the mother have a yellowish teeth with dental carries

excessive sweating in playing or doing household chores)

clothes. It is also to prevent complications like pneumonia.

clothes, towel basin, and toothbrush.

the health teachings given.

Having untrimmed Instructed the family


to trim their finger and toe nails regularly. finger and toe nails carries a higher risk of developing complications. Having dirty nails may lead to parasitism.

PHN bag

When food sticks Instructed the family


to brush their teeth regularly, three times a day is recommended after eating their meals. longer on the teeth, dental problems may occur such as the build up of tartar, dental caries, and halitosis, etc.

To prevent cross Emphasized the


importance of proper hand washing regularly especially: - before eating - after eating - after handling unclean objects - after bowel and bladder elimination contamination of microorganisms Wearing foot wears reduces the risk of being contaminated with certain microorganisms. It reduces the risk of possible accident like stepping on sharp objects.

Stressed the
importance of wearing footwear in and out of the house.

PROBLEM #3: UNSANITARY TOILET


ANALYSIS CUES OF THE PROBLEM GOAL OF CARE OBJECTIVES NURSING INTERVENTION METHOD OF RATIONALE FAMILY CONTACT RESOURCES REQUIRED EXPECTED OUTCOME

S: O:
The toilet facility is poor with regards to hygienic status Presence of flies Is foul smelling They

Presence of health threats due to poor status of health facility 1. Inability to recognize the presence of the problem 2. Inability to provide home environment conducive for health maintenance due to a. Inadequate family resources due to financial constraints b. Lack of adequate knowledge in the importance of having good status of toilet

After nursing intervention, the family will decide on appropriate action(s) to maintain good cleanliness of the toilet facility

SHORT TERM: After 2-3 hours of home visit the family will be able to verbalize understanding of the importance of having a toilet facility and recognize the diseases that may be brought by the presence of this problem and health teachings given

>explain to the family the effect of this problem to their health.

>to develop awareness and initiate action in controlling this problem.

>Home visits

>Cooperation of the family

SHORT TERM: After 2 hours of nursing

>Observations

members.

>Health teachings

>Time and effort of the student nurse.

interventions the family verbalized understanding

> discuss to family the importance of having their own toilet facility.

>to provide proper knowledge among the members of the family. >Giving a hand in the >Interview

>Health teachings.

of the importance of having a toilet

>discuss to the family the possible diseases they can acquire like UTI, diarrhea, etc.

>to prevent the occurrence of certain disease

construction of the toilet

>A bawl and cement > sako Nails, hammer

facility and recognized the diseases that may be brought by the presence of this problem and health teachings

defecate in soils and let it stand

LONG TERM: After 3 weeks of home visit the family will be able to construct a water sealed toilet with firm and safe walls and will be able to provide a roof of the toilet for comfort and safety After 4 months of

>encourage them to practice proper hand washing >to prevent crosscontamination within the members of the >identify resources available to the family family. >to reduce/correct existing risk factors > note socioeconomic > indicator for need

Wood

given.

LONG TERM; After 3 weeks of home visit the family was able to construct a

facility and the disease can be acquired through improper cleaning of toilet

home visit the family will be able to demonstrate compliance to health teachings given.

status/availability and use of resources

for information, assistance with making positive changes, promoting safety and a sense of security

water sealed toilet with firm and safe walls and was able to provide a roof of the toilet for

> Help the client to construct their toilet and their walls and roof

>We still practice Independence and not total dependence

comfort and safety

After 4 months of home visits the family have demonstrate compliance to health teachings given.

PROBLEM #4:
ANALYSIS OF THE PROBLEM Inability to make decisions with respect to taking appropriate action due to: >failure to comprehend the nature, scope/magnitude of the problem >limited financial resources GOAL OF CARE After nursing intervention, the family will decide on appropriate action(s) to prevent the occurrence of accidental fires NURSING INTERVENTION METHOD OF RATIONALE FAMILY CONTACT >Home visits RESOURCES REQUIRED >Cooperation of the family >Observations members. EXPECTED OUTCOME Short Term: After 2-3 hours of home visits the family was able to recognize the presence of the existing problem identify ways in eliminating fire hazards present inside the house. Long Term: After five days >Equipments used: Hammer, nails, woods and galvanized iron of home visits, the family have shown adherence in the teachings given as evidenced by reconstruction of their cooking area.

CUES

OBJECTIVES

S: O:

The

galvanized iron in the kitchen area is burnt

Short Term: After 2-3 hours of home visits the family will be able to recognize the presence of the existing problem identify ways in eliminating fire hazards present inside the house. Long Term: After five days of home visits, the family will show adherence in the teachings given as evidenced by

Discussed to the
family the presence of the fire hazards inside their home.

To increase
awareness among the members of the family.

Discussed and
elaborate to the family all the possible consequences that may come about from having these fire hazards in their home environment.

Members realize
the bad outcome of these accident hazards thus prevent possible occurrences.

>Health teachings

>Time and effort of the student nurse.

>Interview >Health >Giving a hand in the teachings.

The

kitchen is near the bamboo walls of the kitchen

Taught the family


to become resourceful and use only what physical resources they have and try to recycle them such that they may be able to utilize them in eliminating fire hazards like unused pieces of woods in correctly sealing the open and unsafe area.

This prevents the


unnecessary use of their limited finances and also enhances their capability in handling possible hazards and corrects them.

reconstruction of their cooking area

The stove is within the childs reach

reconstruction of their cooking area.

Facility for heating is placed in the kitchen where fire

Helped the family


in reconstructing

This is to prevent
fire and to prevent

is not controlled because of the use of woods.

their cooking are Encourage the family to put out the fire after cooking with water Encourage the family to move the stove away from any flammable objects such as bamboo Encourage the family to have a bucket of water close to the stove Instruct the family to rub the fire wood on the ground Instruct the family to keep matches away from children

smoke inhalation. Little source of fire cam still ignite to a bigger fire

Light materials like


woods are flammable

Water is an
element against fire

Limiting the source


of oxygen for the fire means limiting the fire

PRESENCE OF BREEDING PLACES FOR MOSQUITOES, FLIES AND RODENTS 1ST LEVEL ASSESSMENT: Health threat 2ND LEVEL ASSESSMENT: Inability to make decisions with respect to taking appropriate health action d/t insufficient knowledge